KENNETH L. SHIELDS LMHC NPI 1548267743

NPI Information

NPI: 1548267743
Provider Name: KENNETH L. SHIELDS, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
11104 PARKVIEW CIRCLE DR
STE 110
FORT WAYNE, IN
ZIP 46845
Phone: (260) 460-3203
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Kenneth L. Shields, LMHC is a mental health counselor in Fort Wayne, IN. Kenneth L. Shields, LMHC NPI is 1548267743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11104 PARKVIEW CIRCLE DR
STE 110
FORT WAYNE, IN
ZIP 46845-730
Phone: (260) 460-3203
Fax: (260) 460-3130

The enumeration date for this NPI number is 7/1/2005 and was last updated on 12/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	87001425A	INDIANA	No
2	101YM0800X	Counselor	Mental Health	39001242A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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